Select Pharmacy Llc is an authorized DME supplier for medicare equipments and products.
Select Pharmacy Llc is a Long Term Care Pharmacy in Midvale, Utah. It is located at 628 W 7250 S, Midvale and it's customer support contact number is 801-849-1595. The authorized person of Select Pharmacy Llc is Roy Payne who is President of the pharmacy and his contact number is 801-759-8981. Active license number of Select Pharmacy Llc is 9633146-1704 for Long Term Care Pharmacy in Utah. Select Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Select Pharmacy Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Select Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Select Pharmacy Llc
Type:
Long Term Care Pharmacy
Location:
628 W 7250 S, Midvale, Utah, 84047-1060
Phone:
801-849-1595
Fax:
801-895-7450
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Roy Payne
Position:
President
Contact Number:
801-759-8981
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1154795854
NPI Enumeration Date:
18 Nov, 2015
NPI Last Update On:
07 Feb, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Select Pharmacy Llc are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
9633146-1704
Utah
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2157509
Other
Pk
Medicare Enrollment:
Select Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
4284917089
O20170201001313
Select Pharmacy Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
628 W 7250 S, Midvale, Utah
Zip:
84047-1060
Phone Number:
801-849-1595
Fax Number:
801-895-7450
Patients can reach Select Pharmacy Llc at 628 W 7250 S, Midvale, Utah or can call on customer care at 801-849-1595.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.
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